Individual
MS. SHA'QUELA D SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1870 CORDOVA AVE, YOUNGSTOWN, OH 44504-1808
(330) 330-7448
Mailing address
1870 CORDOVA AVE, YOUNGSTOWN, OH 44504-1808
(330) 330-7448
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400917350509
OH
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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